Surgical Decompression of Thoracic Ossification of the Posterior Longitudinal Ligament through Posterior Approach: A Case Report
| Autor: | Majid Reza Farrokhi, Seyed Reza Mousavi, Mohammad Reza Tamjidi, Saeed Tayebi Khorami, Abbas Khosravi farsani, Jaloliddin Mavlonov, Hamid Jangi Aghdam, Armin Akbarzadeh |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Bulletin of Emergency and Trauma, Vol 11, Iss 4, Pp 196-199 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2322-2522 2322-3960 |
| DOI: | 10.30476/beat.2023.98867.1443 |
| Popis: | Thoracic ossification of the posterior longitudinal ligament (OPLL) is a rare condition that is mainlyaccompanied by cervical OPLL or ossification of thoracic ligamentum flavum. In case of causing neurologicalmanifestations, it is preferred to treat the condition surgically. Several surgical procedures were introduced,including anterior, posterior, or combined approaches. Laminectomy with instrumented fusion is the mostpopular procedure utilized via the posterior approach. A 32-year-old obese woman, who suffered from backpain and weakness in both lower extremities for one month, was referred to our spine outpatient clinic. Imagingrevealed lower thoracic OPLL (T7/T8 & T8/T9 & T9/T10). The posterior longitudinal ligament had a mixedossification pattern (beaked and continuing cylindrical). To maintain thoracic spine stability and prevent futurekyphosis, we performed laminectomy and long segment fixation (T7 to T12). The post-operative neurologicalexamination revealed a considerable increase in muscle strength and significant pain relief. |
| Databáze: | Directory of Open Access Journals |
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